Multiple sclerosis - chii, uye ndiani ari pangozi?

Basa rakajairika reuropi uye rwonzi rwomumutsipa runopiwa nehutachiona. Kukuvadza kwemuviri wavo kunonzi sclerosis, chirwere ichi hachina chokuita nehutachiona hwekuyeuka uye kusavapo-pfungwa muhuchembera. Pathology inobata vechiduku vane makore gumi nemashanu kusvika ku40-45.

Multiple sclerosis - chii ichocho?

Nemhaka yekushandiswa kwenguva refu kwekuongororwa mumubvunzo mune chinoreva chisina kunaka, varwere vazhinji vanoteerera zviratidzo zvake zvekare. Zvakakosha kuti tisakanganise senile shanduko mumabasa europi uye multiple sclerosis - chii ichi: chirwere chisingaperi chisinganzwisisiki, umo kuparadzwa kwematope anokonzerwa uye kushandiswa kwaro nekushaya (connective) kunoitika.

Chirwere chakafanana incephalomyelitis. Maererano nekliniki yemifananidzo uye nzira dzekufambira mberi, inenge yakafanana neyeplosisosis, asi izvi zvinokonzera kukanganiswa pachikwata chekuongororwa. Kuparidzirwa encephalomyelitis chirwere chinotyisa chekudzivirira muviri chinoratidzwa nekuputika uye kukanganisa kune dzimwe nzvimbo dzehutachiona. Iyo haina maitiro asingagumi uye inogumira kune imwe yanyanyisa.

Multiple sclerosis - zvinokonzera

Masayendisiti asati aona kuti nei chirevo chinorondedzera chirwere chinokura. Yakasimbiswa kuti multiple sclerosis inowanzowanikwa kune vanhu vedzinza reCaucasi pazera remakore anenge makumi matatu, uye vakadzi vanowanzoshungurudzika. Kuwanda kwehutachiona kunowedzera kubva kumaodzanyemba kwenyika kusvika kuchamhembe kwehemisphere. Iko kune mazano akawanda anotsanangura multiple sclerosis - zvikonzero zvinonzi ndizvo zvinotevera:

• miviri yakareba, kusanganisira miviri yezuva;
• utachiona;
• genetics;
• toxin;
• kushungurudzika;
• kukuvadzwa;
• zvikamu zvekudya;
• geo-ecological chimiro chezvimbo;
• nhamba ye uric acid uye shuga nevamwe.

Multiple Sclerosis Symptoms

Chirwere chemakiriniki chinoenderana nezvenguva yekufambira mberi kwechirwere ichi, nzvimbo yepamusoro uye ukuru hwechiremera chemagetsi emagetsi. Muchikamu chekutanga hazvikwanisi kuona hutachiona hwakawanda - zviratidzo zvinenge zvisipo kana kuti zvinyangarika nokukurumidza. Basa rekuvhiringidzika kwemishonga inotanga kuita mashizha ane utano. Zviratidzo zvinogona kuonekwa chete kana uropi nemutsipa wepelinha zvakanyanya kuvhiringidzwa, ne40-50%.

Zviratidzo zvekutanga zve multiple multiple sclerosis

Kuratidzwa kwokutanga kwechirwere kunofananidzwa nekuwana nzvimbo yeauroni yakaora. Multiple sclerosis inowanikwa mumwe nomumwe, mumwe murwere haamborevi zviratidzo zvose panguva imwe chete. Zviratidzo zvehutano:

• kushaya simba mumasumbu;
• kutinhira, kupera kwemakumbo;
• hypotension ;
• kuora kwemaonero anooneka;
• chizoro;
• kuneta;
• kusina kukwana kuvhara kwechimbera;
• kushushikana kwehope;
• kutyora kwekutama kweziso (diplopia, nystagmus nevamwe);
• vachizununguka vachifamba;
• neuritis ye trigeminal nerve ;
• kudengenyeka uye vamwe.

Ikutanga zviratidzo zve multiple multiple sclerosis zvinogona kukanganisa mafungiro emweya:

• kusafarira ;
• kutsamwa;
• kusuruvara kusina maturo, kusuruvara;
• depressive episodes;
• overexcity;
• euphoria;
• lability.

Zvikamu zve multiple multiple sclerosis

Chiyero chechirwere chemashupa ehutano inofungidzirwa pa 2 nd scale:

1. FSS - iyo yehutano hurongwa. Zvichienderana nekuoma kwekukuvadza kwekuita kwakasiyana kwenharaunda dzouropi, zvikamu kubva pa 0 kusvika ku 6 zvinoratidzwa.Shamba inoshandiswa pakuongorora.
2. EDSS - yakawedzerwa kuongorora kwekuremara. Inowanzoshandiswa pakuongorora mishonga uye munguva yekucherechedza kunoshamisa. Nzvimbo yekuremara inofungidzirwa muzvikamu kubva 0 kusvikira ku10.

Mune matanho ekutanga ekufambira mberi (kusvika pakati peganda rimwe nerimwe), chirwere chiri pasi pekufungisisa uye chakanyanya kuparadzirwa encephalomyelitis chinopfuurira zvakafanana. Gare gare, pane zviratidzo zvakaratidzwa, zvinongoratidzirwa chete zvechirwere cheplerosis:

• kushungurudzika kwazvo chirwere;
• uncharacteristic sensations (kupisa, kuchenesa, kurwadziwa);
• kushaya simba pamusoro pemakumbo;
• akadanidzira kudengenyeka kwemaoko;
• spasms;
• kusagadzikana kwezvakaitwa;
• zvakanyanya musoro;
• kushungurudzika kwechigaro nekudhonza;
• kuora mwoyo kwemaitiro epfungwa;
• kunyanya kurara;
• kuora mwoyo;
• kuderedza chido chepabonde;
• kuchinja mukunzwisisa kwekutaura;
• kuoma mukuedza;
• kusanzwa kwakashata uye vamwe.

Multiple Sclerosis - Kuongororwa

Special laboratory testing or hardware studies kuti aone kuti chirwere ichi hachipo. Kuongororwa kwe "multiple sclerosis" kunogadziriswa kuburikidza nezviratidzo zvinowirirana nechimwe chezvavo MacDonald:

1. Zviratidzo zvekuvhiringidzika kwehutano hwemutsara mukati me2 foci. Kuwedzera kwaive kwakatove kaviri kana kuitika kakawanda.
2. Chinangwa chinoratidza zviratidzo zvekugadzirisa mishonga inotyisa mune imwe pfungwa. Kuwedzera kwaiitwa kwakaonekwa kaviri kana kupfuura.
3. Chipatara zviratidzo zveplerosis muna 2 kana kupfuura. Kuwedzera kwekuitika kwakaitika 1 nguva.
4. Zviratidzo zvakananga zvekuvhiringidzika kwee-neuroni mune 1 kutarisa. Kuwedzera kwacho kwaimbova (kuchipatara kurega chirwere).
5. Kupera zvishoma nezvishoma kwezviratidzo zvakadai se multiple sclerosis.

Kusimbisa kupomerwa kwekutsvaga uye kuparadzaniswa kwayo nezvimwe zvirwere, dzimwe nguva dzimwe nzira dzinoshandiswa:

• magnetic resonance imaging;
• kuongorora kweperebrospinal fluid;
• kutsunga kwehupenyu hwehupenyu hwehuropi.

Kurapa kwe multiple multiple sclerosis

Nzira yekurapa inogadzirwa zvichienderana nehutano hwechikoro uye kuoma kwezviratidzo. Mhinduro kumubvunzo ndeyekuti zvinokwanisika here kurapa multiple sclerosis zvakakwana, zvisina kunaka. Iyo chirwere chisingaperi chinoramba chiri kufambira mberi. Therapy inobatsira kuderedza kuwandisa kwekudzoka kwechirwere uye kuvandudza hupenyu hwehupenyu hwevanhu, kuderedza zviratidzo zvekuchirapa.

Multiple Sclerosis - madhiragi

Kusvikira zvinokonzera zvikonzero uye zvirwere zvinoratidzika, hapana mishonga inokosha. Vose pharmacological agents vanosarudzwa zvakajeka mumwe nomumwe uye zvinodiwa kuti asiye zviratidzo zvehutano hwehutano hwekushaya. Mushonga unokosha we multiple multiple sclerosis ndiyo immunosuppressant. Sezvinodhaka zvinoderedza basa rekudzivirirwa kwemuviri, corticosteroid hormone inoshandiswa:

• Methylprednisolone;
• Dexamethasone;
• Tetracosactide;
• Prednisolone uye zvakafanana.

Dzimwe nguva nzira yekurapa inotanga cytostatics:

• Methotrexate;
• Azathioprine;
• Cyclophosphamide;
• Kladribin nevamwe.

Kuti kuderedze kufambira mberi uye kuchinja kwakanaka munguva yechirwere chacho, mishonga inomwe chete iyo yave ichiongororwa yakaongororwa munyika:

• Rebif;
• Avonex;
• Betaferon;
• Mitoxantrone;
• Copaxon;
• Tisabry.

Masayendisiti anoramba achitsvaga nzira itsva dzokurapa multiple sclerosis. Migumisiro yakanaka kubva kuongororo dzangobva kuitika dzakaratidza mishonga yakadaro:

• Naltrexone;
• Alemtuzumab;
• Campas.

Kubvira muna 2005, mafupa emapfupa ekutengesa ave akaonekwa senzira chete inoshanda yekurapa multiple sclerosis. Uku ndiko kupindira kwekuvhiya kunoda kubvumirana kwezvinhu zvemupi wezvakaberekwa uye muviri wevarwere. Kushandiswa kwemakemikari yakakosha yakagadzirirwa kuparadza pfupa rayo pfupa rinodiwa.

Mukurapa kwechirwere chechirwere, mapoka akasiyana emasvomisitiri anoshandiswa. Mazita, kuyerwa uye kuwandisa kwekutora chero mishonga inosarudzwa chete nachiremba maererano nehupo uye hutsinye hwezviratidzo, izvo zvinokonzera kuparadzirwa kwekuwedzera kweplerosis. Kuzvibata-kurapa kurapwa kune ngozi kune zvinetso uye nemigumisiro kubva pakutora mishonga.

Kurapa kwe multiple multiple sclerosis nemakwenzi evanhu

Mune mishonga isingashandisi, hapana maitiro anobatsira ekurapa chirwere ichi. Zvokudya zvepanyama zvinogona kuderedza zviratidzo zvishoma uye zvishoma nezvishoma zvinovandudza hukama hwakanaka. Musati marapa multiple sclerosis nemhando dzevanhu, zvinokosha kuti tibvunze chiremba, mamwe mishonga yemishonga haikwirirani nemimwe mishonga.

Kudzorera mishonga yemishonga

Zvisungo:

• mashizha nemaruva e hawthorn (akaenzana) - 50 g;
• Ruta - 15 g;
• midzi ye valerian - 10 g;
• mvura - 200 ml.

Kugadzirira, kushanda

1. Geza uye sanganidza michero.
2. Dururira 1 tbsp. kapu musanganiswa negirazi remvura inotonhorera.
3. Simbisa maawa matatu.
4. Birai kwemaminitsi mashanu.
5. Zvichenesa, sarudza mhinduro yacho.
6. Gurai mushonga muzvikamu zvitatu zvakaenzana.
7. Inwaiwa mangwanani, masikati uye manheru.

Multiple Sclerosis - Maitiro

Matambudziko ezvinorondedzerwa zvirwere ndeyekuwedzera kwezviratidzo zviripo uye kakawanda kunodzokororazve. Migumisiro ye multiple multiple sclerosis:

• kugadzikana kwekufamba, kusanganisira paresis uye kuora mitezo;
• kushungurudzika kwekudzora nekuzvidzivirira;
• kutadza kuonekwa, kusvika kuhupofu;
• kukurumidza kupfeka kwepamusoro uye masangano;
• kazhinji kuputika mune chero zvirongwa zvemuviri;
• kuora kwekuita kwepfungwa;
• kushushikana kukuru uye vamwe.

Vangani vanorarama ne multiple sclerosis?

Kufananidzira kwechirwere ichi chinofadza, kunyanya kana chirwere chacho chikaonekwa musati tasvika makore makumi mashanu. Mukurwisana nemamiriro ekururamisa uye nguva dzose, varwere vane multiple sclerosis vanorarama kusvika pakukwegura kwakanyanya pasina kuora kwehuropi uye musana wemutsara. Muzviitiko zvisingaiti (pasi pe10%), chirwere ichi chirikufambira mberi nokukurumidza, zvichikonzera kukundikana kwebasa rezvikamu zvakasiyana uye zvirongwa. Izvi zvinotungamirira kumugumisiro unouraya mukati memakore 8-10.